Based on public Medicaid payment data.

Average Medicaid Emergency Room Visit Payments in Encinitas, CA: $74.39

Avg. Paid

$74.39

Range

$46.29 – $118.34

Total Claims

80,635

Providers

Typical Payment Range

Typical Medicaid Emergency Room Visit payments fall between $56.00 and $114.21 per claim (median: $78.41). The top 10% of payments exceed $164.43.

Based on per-provider averages across all Medicaid claims in this category.

Emergency department visits for urgent and emergency medical care. Costs vary significantly based on severity level and treatments needed.

Understanding these costs

The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.

Providers Offering Emergency Room Visit in Encinitas, CA

Provider	Avg. Paid	Claims	Patients
Armin P Perham 206 4Th St	$62.23	8,595	8,533
Allan Christopher Churukian 354 Santa Fe Dr	$85.60	6,598	6,551
Kirk Burgamy 354 Santa Fe Dr	$81.55	5,835	5,811
Neal J. Aaron 354 Santa Fe Dr	$62.68	5,813	5,763
Chad Michael Valderrama 354 Santa Fe Dr	$66.67	5,231	5,188
James Andrew Garvey 354 Santa Fe Dr	$67.20	4,793	4,756
Scripps Health 354 Santa Fe Dr	$93.08	4,599	4,192
Emergency Medicine Group Of Encinitas, Inc 354 Santa Fe Dr	$57.26	4,575	4,312
Owen Bowers 354 Santa Fe Dr	$89.88	4,182	4,143
Steven R Andree 354 Santa Fe Dr	$60.85	3,139	3,106
Matthew Morrill Thomas 435 Santa Fe Dr	$95.92	2,918	2,902
Ramesh Subramani 354 Santa Fe Dr	$71.07	2,636	2,614
Lauren Donnelly 354 Santa Fe Dr	$75.33	2,478	2,450
Paul-Thomas Tremoulet 354 Santa Fe Dr	$59.93	2,464	2,439
Andrew J Accardi 354 Santa Fe Dr	$65.40	2,279	2,248
Richard Tran 354 Santa Fe Dr	$69.85	1,771	309
Jenifer Compton Luman 354 Santa Fe Dr	$118.34	1,426	1,403
Heather Alcorn Kirwan 477 N El Camino Real Ste A202	$83.84	1,325	1,298
Dennis Eugene Amundson 320 Santa Fe Dr	$100.80	1,205	489
Encinitas Emergency Medicine, Inc. 354 Santa Fe Dr	$60.67	1,185	1,094
Christopher Glenn Phillips 320 Santa Fe Dr	$83.86	1,161	1,156
Oriesa Wiyono Oeij 1505 Encinitas Blvd	$55.86	1,068	1,060
James Peter Howard 142 Encinitas Blvd	$63.20	1,065	1,030
Amy Lyn Sanderson 354 Santa Fe Dr	$57.41	906	897
Mark Beyer 354 Santa Fe Dr	$64.12	539	535
Stephanie Shin 320 Santa Fe Dr Ste 107-C	$104.44	538	270
Paul Burbank Dohrenwend 354 Santa Fe Dr	$118.29	535	533
Kevin Daniel Shaw 326 Santa Fe Dr Ste 100	$98.25	465	188
John David How 285 N El Camino Real Ste 117-118	$88.87	300	300
Alejandro Pino 326 Santa Fe Dr Ste 100	$112.02	189	80
Joy Marian Hardison 142 Encinitas Blvd	$67.17	185	185
Adam James Omahen 519 Encinitas Blvd Ste 106	$64.39	136	134
Scott Alan Eisman 354 Santa Fe Dr	$95.09	125	58
Andrew Y Hsing 320 Santa Fe Dr Ste 107-C	$98.67	104	38
Lewis H Self 354 Santa Fe Dr	$58.61	89	30
William A Meade 354 Santa Fe Dr	$53.24	78	75
Tomas Linas Viskanta 650 San Dieguito Dr	$46.29	42	42
Amy Chiou Aminlari 354 Santa Fe Dr	$57.88	37	37
Lauren Ashley Alexander 354 Santa Fe Dr	$93.52	14	14
Vanaja Menon 354 Santa Fe Dr	$100.00	12	12

What to Expect: Emergency Room Visit

Emergency room visits begin with triage, where your condition is assessed to determine urgency. Wait times vary from minutes to hours depending on severity. You'll be seen by an ER physician who may order tests, imaging, or procedures. Costs include the facility fee, physician fee, and any tests or treatments. Most ER visits last 2-6 hours.

Cost Components

National average Medicaid payment per billing code. Individual rates vary by provider and state.

Code	Description	Avg. Paid	Claims	Providers
99284	ER visit high severity	$118.05	170,705,529	95,397
99283	ER visit moderate severity	$106.85	157,926,994	92,923
99285	ER visit high sev w/threat	$136.01	111,002,396	79,755
99282	ER visit low severity	$104.38	24,203,945	35,900
99291	Critical care first 30-74 min	$120.48	10,902,745	28,076
99281	ER visit minor problem	$92.67	8,018,086	9,327
99292	Critical care each addl 30 min	$72.51	273,485	1,267

These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.

Frequently Asked Questions

How much does a Emergency Room Visit cost in Encinitas, CA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Encinitas, CA is $74.39 per claim, based on 80,635 claims from 40 providers. Typical payments fall between $56.00 and $114.21. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.

How many providers offer Emergency Room Visit in Encinitas, CA?

There are 40 Medicaid providers offering Emergency Room Visit related services in Encinitas, CA according to public payment data.

What is the price range for Emergency Room Visit in Encinitas, CA?

Medicaid reimbursement for Emergency Room Visit in Encinitas, CA ranges from $46.29 to $118.34 per claim, with an average of $74.39. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Emergency Room Visit Payments in Encinitas, CA: $74.39

Providers Offering Emergency Room Visit in Encinitas, CA

What to Expect: Emergency Room Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Encinitas, CA

Office Visit

Dental Cleaning & Exam

Blood Work & Lab Tests

Physical Therapy

EKG / ECG (Electrocardiogram)

Eye Exam

Urinalysis & Urine Tests

Psychiatric Evaluation